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©2007 Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Dec 14, 2007; 13(46): 6274-6276
Published online Dec 14, 2007. doi: 10.3748/wjg.v13.i46.6274
Published online Dec 14, 2007. doi: 10.3748/wjg.v13.i46.6274
A phantom gallbladder on endoscopic retrograde cholangiopancreatography
Jinhong Xing, Jeremy Rochester, Caroline K Messer, Bruce P Reiter, Mark A Korsten, Gastroenterology and Radiology Programs, James J. Peters VA Medical Center, Bronx, NY 10468, Montefiore Medical Center, Bronx, NY, Mount Sinai School of Medicine, New York, NY and Albert Einstein College of Medicine, Bronx, New York 10468, United States
Author contributions: All authors contributed equally to the work.
Correspondence to: Mark A Korsten, MD, James J Peters VA Medical Center, 130 W. Kingsbridge Road, Bronx, New York 10468, United States. korsten.mark@med.va.gov
Telephone: +1-718-5849000-6753 Fax: +1-718-5791635
Received: April 20, 2007
Revised: September 6, 2007
Accepted: October 17, 2007
Published online: December 14, 2007
Revised: September 6, 2007
Accepted: October 17, 2007
Published online: December 14, 2007
Abstract
Various complications have been related to laparoscopic cholecystectomy but most occur shortly after the procedure. In this report, we present a case with very late complications in which an abscess developed within the gallbladder fossa 6 years after laparoscopic cholecystectomy. The abscess resolved after treatment with CT-guided extrahepatic aspiration. However, 4 years later, an endoscopic retrograde cholangiopancreatography (ERCP) performed for choledocholithiasis demonstrated a “gallbladder” which communicated with the common bile duct via a patent cystic duct. This unique case indicates that a cystic duct stump may communicate with the gallbladder fossa many years following cholecystectomy.
Keywords: Laparoscopic cholecystectomy; Complication; Abscess; Gallbladder; Endoscopic retrograde cholangio-pancreatography